MEDICARE: DR. MICHAEL MENG CHEN MD, MS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084N0400X	Neurology Physician	2020-02778	NC
2	2084N0400X	Neurology Physician	333179	LA
3	2084N0400X	Neurology Physician	036150014	IL
4	2084N0400X	Neurology Physician	01083148A	IN
5	2084N0400X	Neurology Physician	MD214065	OR
6	2084N0400X	Neurology Physician	A147040	CA
7	2084N0400X	Neurology Physician	2019043900	MO
8	2084N0400X	Neurology Physician	ME143018	FL
9	2084N0400X	Neurology Physician	0101272681	VA
10	2084N0400X	Neurology Physician	MD61056408	WA
11	2084N0400X	Neurology Physician	97067	GA
12	2084N0400X	Neurology Physician	69417	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	333179	OTHER	LA	LA LICENSE
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1558757757
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL MENG CHEN MD, MS

Provider Business Mailing Address
First Line	:	PO BOX 25608
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84125-0608
Country	:	US
Telephone Number	:	206-320-4476
Fax Number	:	206-568-7043

Provider Business Practice Location Address
First Line	:	550 17TH AVE
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98122-5788
Country	:	US
Telephone Number	:	206-320-2800
Fax Number	:	206-320-2827

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/14/2015
Last Update Date	:	01/21/2026

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